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Efektivitas masase effleurage terhadap penurunan intensitas nyeri persalinan kala I fase aktif Qurniasih, Nila; Sofro, Zaenal Muttaqien
Majalah Kesehatan Indonesia Vol 1, No 1 (2020): 2020
Publisher : Utan Kayu Publishing

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Abstract

Almost of  90 percent  mother in delivery are experiences pain in labor and 23 percent among of them, to be continue severe pain. In over time this pain to be severe have caused by contraction and opened of the birth Canal. This Condition has discomfort for mothers, Anxiety and can affects negative  influence to the labor outcame. Labor pain management can  reduce of labor pain, this can also helped a positive progress in labor. Effleurage is one of methode manegement pain in labor. The mechanism effluerage is an activate autonomic nerves system’s and social enggagment dyadic respons that is mantain body balanced. This Research purposed to evaluate the effectiveness of effleurage massage to reduce pain in Active Phase Labor. This Research is experimental with Randomized Control Trial Design at intervention and Control Group. The Research Subject involved 70 participant That obtained from inclusi and exsclusi Criteria, then assessed the intensity of pain before and after being given the intervention. This Result showed is the effluerage massage significant to reduce pain in active phase labor by OR value  3,45 compared with standar care group. This Conclusion of the research show if the mother who get intervention of effleurage massage have a lower pain compare in the standart care group. Abstrak: Hampir 90 persen ibu yang bersalin mengalami nyeri persalinan dan 23 persen diantaranya berlanjut menjadi nyeri berat.  seiring berjalannya waktu nyeri akan semakin berat akibat kontraksi dan pembukaan jalan rahim, hal ini menyebabkan ketidaknyamanan dan berpengaruh terhadap kecemasan serta luaran persalinan. Manajemen nyeri yang baik dapat mengurangi ketidaknyamanan akibat nyeri dan membantu proses persalinan semakin baik.  Effluerage merupakan salah satu metode untuk mengurangi nyeri persalinan. Sistem kerja  effluerage adalah dengan megaktivasi saraf otonom terhadap fungsi vagal smart sosial enggagment yang juga merupakan pusat keseimbangan tubuh. Penelitian ini bertujuan untuk mengetahui efektivitas masase effluerage terhadap penurunan nyeri persalinan Kala I Fase aktif. Penelitian ini  merupakan penelitian eksperimental Randomize Control Trial pada kelompok intervensi dan kelompok kontrol. Subyek penelitian ini melibatkan 70 orang ibu bersalin kala I fase aktif yang dipilih dengan kriteria inklusi dan eksklusi, kemudian dinilai tingkat nyeri sebelum dan setelah intervensi. Hasil penelitian menunjukkan massase effluerage signifikan dalam menurunkan nyeri persalinan dengan nila OR 3,45 dibandingkan dengan ibu yang mendapatkan perawatan standar. Ibu yang mendapatkan massase effluerage tingkat nyeri lebih rendah jika dibandingkan ibu yang bersalin dengan perawatan standar.
Faktor–Faktor Yang Berhubungan dengan Perilaku Merokok di Dalam Rumah Rarasati, Diah; Putri, Riska Hediya; Qurniasih, Nila; Kristianingsih, Ani
Wellness And Healthy Magazine Vol 3, No 2 (2021): Agustus
Publisher : Universitas Aisyah Pringsewu (UAP) Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/well.162322021

Abstract

Lung cancer ranks on the first as the cause of death, which is 12.6% (Globocan, 2018). The genesis of lung cancer in Indonesia is based on data from the Friendship Center General Hospital, 87% of lung cancer cases are caused by smoking behavior, both passive and active smokers. The number of smokers in Indonesia is still high, the number of passive smokers is 78.4% or 133.3 million adults exposed to cigarette smoke in their homes. Passive smokers can be attacked by various diseases such as lung cancer and respiratory diseases because cigarette smoke contains more than 4000 chemicals. In addition, if it is associated with maternal and child health, smoking can cause ARI disease that attacks the human respiratory tract with the number of infected children mostly in children. The research objective was to determine the correlate factors to the smoking behavior in the home at Pekon Sukadamai of Gunung Alip Sub-District in Tanggamus Regency. This type of research is a quantitative research with a cross sectional study design. The population in this research were all households with infants and toddlers in Sukadamai Village, amounting to 63 families. The sample in this research amounted to 63 respondents. Sampling in this research used a total sampling technique. The analysis used the chi square test. The results of the research showed that there was no correlation between knowledge (p value 0.90) and attitude (p value 0.07) with smoking behavior in the home at Pekon Sukadamai of Gunung Alip sub-district in Tanggamus Regency (p value = 0.000). Suggestions for the community are expected to be more diligent in adding insight by following the counseling provided by the public health center.
PENINGKATAN GIZI ANAK SEKOLAH DENGAN GERAKAN ISI PIRINGKU Septika Yani Veronica; Nila Qurniasih; Iis Tri Utami; Hellen Febrianti
Jurnal Pengabdian Kepada Masyarakat Ungu( ABDI KE UNGU) Vol. 1 No. 1 (2019): Jurnal Pengabdian Kepada Masyarakat Ungu ( ABDI KE UNGU)
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Aisyah Pringsewu

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Abstract

Gizi pada anak masih menjadi isu yang penting dalam masalah kesehatan ibu dan anak di Indonesia. Data yang diperoleh dari Riskesdas Tahun 2018 menyebutkan bahwa proporsi status Gizi kurang dan buruk pada balita di Indonesia masih tinggi (17,7%) jika dibandingkan dengan Target rencana pembangunan jangka menengah nasional 2019 yaitu 17%. Hal ini dikuatkan dengan adanya peningkatan masalah status gizi ditinjau dari satus gizi pendek yang meningkat sebanyak 1% dibandingkan pada tahun 2013. Masalah gizi merupakan masalah penting karena berkaitan dengan proses tumbuh kembang anak dimasa yang akan datang. Asupan gizi yang kurang pada anak akan menghambat pertumbuhan dan perkembangan anak selanjutnya, hal ini juga mengakibatkan terhambatnya perkembangan kognitif dan intelegensi serta beresiko terhadap masalah kesehatan lainnya (Santoso, 2009). Pengabdian mayarakat ini dilaksanakan pada sasaran anak sekolah usia 8-9 tahun pada SD Negeri 2 Way Urang. Tujuan: untuk meningkatkan pengetahuan anak mengenai gizi seimbang dengan intervensi isi piringku, tujuan khusus: sebagai upaya dalam meningkatkan pertumbuhan dan perkembangan kognitif dan intelegensi yang baik di usianya. Metode: survey, wawancara, penyuluhan, pretes posttes, intervensi. Hasil: sebelum penyuluhan mayoritas siswa belum mengerti mengenai gizi seimbang (58,13%) setelah diberi penyeluhuhan pengetahuan meningkat sebesar (34,89%). Simpulan: hampir semua siswa (93,02%) memiliki pengetahuan baik setelah diberi penyuluhan.
PENGARUH PENYULUHAN KESEHATAN REPRODUKSI TERHADAP TINGKAT PENGETAHUAN CALON PENGANTIN : THE EFFECT OF REPRODUCTIVE HEALTH COUNSELING ON THE KNOWLEDGE OF BRIDE CANDIDATE Atik januarti Atik januarti; Nila Qurniasih; Ani Kristianingsih; Psiari Kusumawardani
Jurnal Maternitas Aisyah (JAMAN AISYAH) Vol. 1 No. 3 (2020): Jurnal Maternitas Aisyah (JAMAN AISYAH)
Publisher : Universitas Aisyah Pringsewu

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Abstract

Tercapainya Derajat Kesehatan Masyarakat dimulai dari kelompok terkecil yaitu keluarga. Salah satu yang dapat dipersiapkan untuk membentuk keluarga yang sehat dan berkualitas adalah dengan memberikan pendidikan kesehatan reproduksi sebelum pernikahan. Hasil survey yang dilakukan di KUA Balik Bukit menunujukkan pendidikan kespro yang diberikan pada saat kursus catin belum optimal, bahkan masih ditemukan 2 (dua) kasus penelentaran bayi akibat kehamilan tidak diinginkan, hal ini karena ketidak tahuan catin tersebut tentang kesehatan reptodukasi. Dengan tujuan untuk mengetahui pengaruh Penyuluhan Kesehatan Reproduksi Terhadap Tingkat Pengetahuan Calon Pengantin Di KUA Balik Bukit Kabupaten Lampung Barat Tahun 2020. Jenis penelitian ini merupakan penelitian kuantitatif. Populasi dalam penelitian ini adalah seluruh calon pengantin yang ada di Wilayah kerja Puskesmas Balik Bukit tahun 2020, sampel penelitian ini adalah 12 calon pengantin yang akan menikah, dengan Teknik sampling yang digunakan yaitu Purposive sampling. Analisa bivariat menggunakan Uji T. Hasil penelitian ini diperoleh bahwa rata-rata pengetahuan calon pengantin sebelum diberikan penyuluhan kesehatan reproduksi yaitu 61,042%, rata-rata pengetahuan calon pengantin sesudah diberikan penyuluhan kesehatan reproduksi yaitu 78,8%. Hasil menunjukan terjadi peningkatan sebelum dan sesudah intervensi sebesar 17,75.Hasil uji paired test didapatkan hasil P-Value 0,000 (<0,05) yang artinya ada pengaruh penyuluhan kesehatan reproduksi terhadap pengetahuan calon pengatin di KUA Balik Bukit Kabupaten Lampung Barat Tahun 2020. Saran : hasil penelitian ini diharapkan menjadi bahan masukan dan pengembangan ilmu pengetahuan khususnya pengetahuan kesehatan reproduksi pada calon pengantin sehingga dapat memperluas cakupan penelitian terhadap pegetahuan kesehatan reproduksi Kata Kunci : Penyuluhan, Pengetahuan, Calon Pengantin ABSTRACT The achievement of the degree of public health starts from the smallest group, namely the family. One that can be prepared to form a healthy and quality family is to provide reproductive health education before marriage. The results of a survey conducted at KUA Balik Bukit showed reproductive health education provided at the catin course was not optimal, and even found 2 (two) cases of baby displacement due to unwanted pregnancy, this is because of the catin 'ignorance about reptodic health. With the aim of knowing influence Reproductive Health Counseling on the Level of Knowledge of the Prospective Bride at KUA Balik Bukit, West Lampung Regency 2020. This type of research is quantitative research..The population in this study were all brides and grooms in the Balik Bukit Community Health Center in 2020, the sample of this research is 12 brides who will marry, with the sampling technique used was purposive sampling. Bivariate analysis using the T test. The results of this study were obtained that the average knowledge of the bride before being given reproductive health counseling was 61.042%, the average knowledge of the bride and groom after being given reproductive health counseling was 78.8%. Paired test results obtained P-Value 0,000 (<0.05), which means there is an influencereproductive health education to the knowledge of prospective trainers in KUA Balik Bukit, West Lampung Regency in 2020. Suggestion: the results of this study are expected to be material input and development of science, especially knowledge of reproductive health in prospective brides so as to broaden the scope of research on reproductive health knowledge Keywords : Counseling, Knowledge, the bride
A Asuhan Kebidanan Berkelanjutan (Continuity Of Care) Dalam Meningkatkan kesejahteraaan ibu dan bayi di TPMB EKA RINI: Asuhan Kebidanan Berkelanjutan (Continuity Of Care) Dalam Meningkatkan kesejahteraaan ibu dan bayi di TPMB EKA RINI Eka Rini Kesumaningsih, Margaretha; Qurniasih, Nila; Ismiyati, Ismiyati; Mursiati, Sri
Jurnal Maternitas Aisyah (JAMAN AISYAH) Vol. 5 No. 3 (2024): Jurnal Maternitas Aisyah (JAMAN AISYAH)
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jaman.v5i3.1658

Abstract

Background: The high MMR, IMR and CMR still show the main problems in midwifery services. Based on the 2023 Health Profile Report, MMR reached 189/100,000 live births, although there is a downward trend in maternal mortality, this is still far from the SDGs target of 70/100,000 live births by 2030. Obstetric complications are the biggest cause of MMR which further affects IMR. This is a serious problem in midwifery services, because high MMR can reduce the health status of a country. Therefore, efforts are needed to reduce the incidence of MMR and IMR. One of them is by applying the COC model. This care offers effective midwifery services, minimum intervention and provides midwifery services as needed, ranging from pregnancy, childbirth, newborn, postpartum to birth control. With this method, it is expected to create optimum maternal and infant welfare which further helps reduce MMR and IMR. Objective: To see the results of the implementation of the COC method in improving the welfare of mothers and babies during the prenatal, intranatal and postnatal periods. Method: The research was carried out observationally with a case study approach carried out on 3 research subjects in the third trimester of pregnancy, who were followed from the start of pregnancy to family planning. Sampling was carried out at TPMB, data collection was carried out by analyzing data through mentoring formats, interviews and observation. Results: Based on care, the COC care model can help normal pregnancy and delivery, minimum intervention and proven to be able to overcome discomfort problems in clients. Suggestion: The COC care model can be applied in midwifery services
Upaya Peningkatan Kesehatan Remaja Dalam Menghindari Kehamilan Diluar Nikah Lasmi Handayani; Heni Suraida Rahayu; Christy Olivia; Dwi Wachyu N; Ika Meirini; Nila Qurniasih
Jurnal Pengabdian Masyarakat dan Riset Pendidikan Vol. 2 No. 4 (2024): Jurnal Pengabdian Masyarakat dan Riset Pendidikan Volume 2 Nomor 4 (April 2024
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jerkin.v2i4.273

Abstract

The phenomenon of teenagers getting pregnant out of wedlock, especially in Indonesia, is increasing. The risk of pregnancy out of wedlock physiologically, psychologically and socially causes several impacts, one of which is the emergence of depression due to the negative stigma that society places on these teenagers. As for the analysis of the causes of pregnancy that occurs, one of them is the lack of information regarding reproductive health in adolescents, so the solution is to carry out reproductive health education activities for adolescents regarding pregnancy outside of marriage. This community outreach activity was carried out on January 12 2024 at the Paguyuban Middle School in Bandar Agung Village and was attended by 40 people. The methods used in this activity are lectures, discussions, direct demonstrations and questions and answers and before and after this activity a pretest and posttest are given. So with this activity it is hoped that the community, especially teenagers, will be able to understand and realize the importance of knowledge about pregnancy outside of marriage. The aim of this outreach to the community is to synthesize creative ideas through educational outreach programs by carrying out preventive and promotive efforts in preventing and dealing with out-of-wedlock pregnancies among teenagers.
Peningkatan Pengetahuan KB Implan pada WUS di Desa Bandar Agung Wilayah Kerja Puskesmas Sribhawono Siti Zulaikah; Evi Rianti; Vibri Fitri Agustin; Sri Lestari; Tri Yuni Handasari; Nila Qurniasih
Jurnal Pengabdian Masyarakat dan Riset Pendidikan Vol. 2 No. 4 (2024): Jurnal Pengabdian Masyarakat dan Riset Pendidikan Volume 2 Nomor 4 (April 2024
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jerkin.v2i4.274

Abstract

The main problem in Indonesia is the population growth rate which is still high with a percentage of 278.8 million in 2023. This problem can be prevented by using contraceptives that are effective and have long-term effects, one example is the use of birth control implants. Bandar Agung village is a village with a population of 17,000 people and consists of WUS. Based on data, the majority of the population still does not use long-term contraceptives, on average 70% of people prefer to use injectable contraceptives. One of the reasons for mothers' interest in using contraceptive implants is the mother's lack of knowledge about implants. So the solution offered to this problem is to provide education regarding implant contraception. The methods used in this activity are lectures, discussions and questions and answers. So with this activity, it is hoped that the community, especially women, will be able to understand and realize the importance of using family planning, one of which is implantable family planning and that there will be an increase in knowledge for WUS by 75%. With this program in the Puskesmas area, it is hoped that the community, especially women, can carry out implant contraception to reduce the high population growth rate
Efektifitas Tehnik Rebozo Mengurangi Rasa Nyeri Dan Kemajuan Persalinan Pada Ibu Bersalin Di PMB Wilayah Kerja Kota Bandar Lampung Ismiatun, Ismiatun; Qurniasih, Nila; Primadevi, Inggit; Sukarni, Sukarni
Innovative: Journal Of Social Science Research Vol. 4 No. 6 (2024): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v4i6.17036

Abstract

Persalinan saat ini menjadi fenomena yang menakutkan dikalangan ibu, khususnya ibu hamil hal ini dikarenakan nyeri pada persalinan yang merupakan hal fisiologis yang dialami semua ibu bersalin. Salah satu upaya untuk menangani kala I memanjang saat proses persalinan dan mengurangi nyeri dapat dilakukan dengan metode nonfarmakologis. Salah satu metode nonfarmakologis yaitu dengan menggunakan teknik Rebozo. Penelitian ini bertujuan untuk mengetahui efektifitas Teknik Rebozo mengurangi rasa nyeri dan kemajuan persalinan pada ibu bersalin Di PMB Wilayah Kerja Kota Bandar Lampung.Jenis penelitian menggunakan kuantitatif, Desain penelitian quasy experiment, dengan rencana penelitian pretest and posttest with control group. Populasi dan sampel adalah ibu Hamil Di PMB Wilayah Kerja Kota Bandar Lampung sebanyak 25 ibu hamil TM 3 menggunakan teknik Total sampling. Penelitian dilakukan di PMB Wilayah Kerja Kota Bandar Lampung pada Bulan Agustus 2024. Instrumen penelitian menggunakan Lembar Observasi Nyeri dan Lama persalinan dan SOP Teknik Rebozo dan Analisa data univariat dan bivariat menggunakan uji T. Hasil penelitian menunjukkan bahwa ada efektifitas tehnik rebozo mengurangi rasa nyeri dan kemajuan persalinan pada ibu bersalin di Bidan Tiara Rica Dayani Dan Bidan Marlina Turnip dengan nilai p-value = 0,001 (<0,05). Diharapkan bidan di klinik dapat menggunakan Teknik Rebozo pada ibu bersalin untuk mempercepat lama kala I fase aktif dan menurunkan rasa nyeri sehingga dapat mencegah adanya komplikasi terutama partus lama
Asuhan Kebidanan Continuity of Care pada Ny. K dengan Penerapan Aromaterapi Lavender dan Kompres Aloevera Okta Saprina; Hikmah Ifayanti; Nila Qurniasih
Jurnal Ventilator Vol. 2 No. 4 (2024): Desember : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v2i4.1525

Abstract

This research is a comprehensive midwifery care case study on Mrs. K from pregnancy to postpartum family planning conducted at the PMB Okta Saprina, S.Tr.Keb and Mrs. K's home from October-December 2023. The assessment during pregnancy found complaints of frequent urination which were addressed by counseling on reducing drinking at night. During labor, Mrs. K experienced severe pain on a scale of 8, which was reduced to moderate pain on a scale of 5 after being given lavender aromatherapy. Labor care stages I-IV were normal according to theory and without complications. The baby was born spontaneously, full-term, without complications. During the postpartum period, Mrs. K experienced breast engorgement which was treated with aloe vera compresses for 7 days until the complaint was resolved. Care for the newborn and postpartum period was according to standards. At 42 days postpartum, Mrs. K chose to use 3-month injectable contraception after being screened with the KLOP wheel. The management provided to Mrs. K was in accordance with evidence-based practice in providing comprehensive midwifery care, namely counseling for frequent urination, lavender aromatherapy for labor pain, and aloe vera compresses for breast engorgement with satisfactory results.
Asuhan Kebidanan Berkelanjutan Pada Ny.H Di PMB Melita Sari,S.ST.Bdn Ifayanti, Hikmah; Haryati, Yeni; Andriyani, Dian Tuti; Abung, Sari Ideal; Kristianingsih, Ani; Qurniasih, Nila
Bunda Edu-Midwifery Journal (BEMJ) Vol. 7 No. 2 (2024): September 2024
Publisher : Akademi Kebidanan Bunga Husada Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54100/bemj.v7i2.209

Abstract

Continuity of Care (COC) merupakan pelayanan yang dilakukan bidan mulai dari kehamilan hingga program Keluarga Berencana (KB) untuk mencegah komplikasi dan memastikan tindakan yang tepat. Penelitian ini bertujuan untuk memberikan asuhan kebidanan pada masa kehamilan hingga masa nifas dengan memberikan asuhan komprehensif dengan aromaterapi lavender untuk mengatasi nyeri persalinan dan pijat oksitosin untuk meningkatkan produksi ASI. Metode penelitian yang digunakan adalah penelitian deskriptif dengan pendekatan studi kasus. Responden dalam penelitian ini adalah Ny. H G1P0A0. Instrumen penelitian menggunakan metode dokumentasi SOAP dengan pola pikir manajemen Varney. Teknik pengumpulan data dilakukan melalui wawancara, observasi pemeriksaan fisik, dan pencatatan data pada buku KIA. Hasil penelitian menunjukkan tidak ada masalah selama kehamilan, bayi baru lahir, atau KB. Hasil yang saling melengkapi dengan intervensi aromaterapi lavender dapat menurunkan skala nyeri pada kala I persalinan. Sedangkan pijat oksitosin dapat meningkatkan produksi ASI pada masa nifas.